Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 35075045 | OH |
Y | 207RA0201X | Internist - Allergy & Immunology | 35075045 | OH |
N | 208000000X | Pediatrician | 35075045 | OH |
NPI | 1114929734 |
---|---|
Provider Name | Elizabeth Ame Erwin |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2005 |
Last Update Date | 15/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2507193 | (05) | OH |
64086887 | (05) | KY |
H92433 | (02) |